Evidence map›Paper›PMID 19884523›Full record

GuidelineJournal of clinical oncology : official journal of the American Society of Clinical Oncology2009

Chronic myeloid leukemia: an update of concepts and management recommendations of European LeukemiaNet.

Michele Baccarani, Jorge Cortes, Fabrizio Pane, Dietger Niederwieser, Giuseppe Saglio, Jane Apperley, Francisco Cervantes, Michael Deininger, Alois Gratwohl, François Guilhot and 11 more

3 registry-linked trialsAbstract readPractice GuidelineReview
In one paragraph

Guideline in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 465 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
465citing papers in PubMed, 2 pooled it
72.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02381379 phase3unknown statusnot on this mapstarted 2015, after this paper: background citation

A Randomized Control Trial Comparing Peginterferon-α-2a Versus Observation After Stopping Tyrosine Kinase Inhibitor in Chronic Myeloid Leukemia With Deep Molecular Response for at Least Two Years

TypeinterventionalSponsorMinistry of Health, MalaysiaRan2015 to 2021Enrolled118ConditionsLeukemia, Chronic MyeloidArmsPeginterferon-α-2a
NCT02421926 withdrawnnot on this mapstarted 2014, after this paper: background citation

Extension Study of a Study to Evaluate Efficacy and Safety of Imatinib (Glinib®) 600mg/Day Depending on Early Molecular Response in Newly Diagnosed Patients With Chronic Myeloid Leukemia in Chronic Phase

TypeobservationalSponsorAsan Medical CenterRan2014 to 2023Enrolled0ConditionsLeukemia, Myelogenous, Chronic, BCR-ABL PositiveArmsIDEAL-E observation (investigators choice of imatinib, nilotinib, dasatinib, radotinib)
NCT05282108 recruitingnot on this mapstarted 2022, after this paper: background citation

Efficacy and Safety of Generic Imatinib (Carcemia®) Compared to Glivec® in Real-Life Management of Chronic Phase of Chronic Myeloid Leukemia; a Multicenter, Observational Study

TypeobservationalSponsorHikma Pharmaceuticals LLCRan2022 to 2026Enrolled240ConditionsChronic Myeloid LeukemiaArmsCarcemia, Glivec
3 · Its place in the literature

Who cites it

465 citing papers in PubMed, 2 syntheses or guidelines pooled it, 1,297 citations in OpenAlex.

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405 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 1 institution in 1 country.

Michele BaccaraniDepartment of Hematology/Oncology, L. and A. Seràgnoli, University of Bologna, Bologna, Italy. michele.baccarani@unibo.it
Jorge Cortes
Fabrizio Pane
Dietger Niederwieser
Giuseppe Saglio
Jane Apperley
Francisco Cervantes
Michael Deininger
Alois Gratwohl
François Guilhot
Andreas Hochhaus
Mary Horowitz
Timothy Hughes
Hagop Kantarjian
Richard Larson
Jerald Radich
Bengt Simonsson
Richard T Silver
John Goldman
Rudiger Hehlmann
European LeukemiaNet
CTO Hospital · IT

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
6 · The paper itself

Abstract

purposeTo review and update the European LeukemiaNet (ELN) recommendations for the management of chronic myeloid leukemia with imatinib and second-generation tyrosine kinase inhibitors (TKIs), including monitoring, response definition, and first- and second-line therapy.

methodsThese recommendations are based on a critical and comprehensive review of the relevant papers up to February 2009 and the results of four consensus conferences held by the panel of experts appointed by ELN in 2008.

resultsCytogenetic monitoring was required at 3, 6, 12, and 18 months. Molecular monitoring was required every 3 months. On the basis of the degree and the timing of hematologic, cytogenetic, and molecular results, the response to first-line imatinib was defined as optimal, suboptimal, or failure, and the response to second-generation TKIs was defined as suboptimal or failure.

conclusionInitial treatment was confirmed as imatinib 400 mg daily. Imatinib should be continued indefinitely in optimal responders. Suboptimal responders may continue on imatinb, at the same or higher dose, or may be eligible for investigational therapy with second-generation TKIs. In instances of imatinib failure, second-generation TKIs are recommended, followed by allogeneic hematopoietic stem-cell transplantation only in instances of failure and, sometimes, suboptimal response, depending on transplantation risk.

Indexed as

Antineoplastic AgentsBenzamidesDasatinibDrug Administration ScheduleDrug MonitoringEuropeGene Expression Regulation, LeukemicHematopoietic Stem Cell TransplantationHumansImatinib MesylateLeukemia, Myelogenous, Chronic, BCR-ABL PositivePiperazinesProtein Kinase InhibitorsPyrimidinesThiazolesTime FactorsAntineoplastic AgentsBenzamidesDasatinibImatinib MesylatenilotinibPiperazinesProtein Kinase InhibitorsPyrimidinesThiazoles

Identifiers

PMID19884523
PMCPMC4979100
OpenAlexW2166654361

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.